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General NPI Number Information
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NPI Number | 1083744940
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH REGIONAL HEALTH CENTER
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 511 SULPHUR SPRINGS
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City | BRYAN
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State | TX
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Zip | 77801
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Country | US
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Telephone | 979-775-8428
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Fax | 979-823-8643
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Provider Business Mailing Address
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Address Line | 2801 FRANCISCAN DR
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City | BRYAN
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State | TX
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Zip | 77802-2544
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Country | US
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Telephone | 979-776-3777
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Fax | 979-776-5914
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Authorized Official
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Title or Position | DIRECTOR OF EMS
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Name | CHRISTOPHER PATRICK BRALY
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Credential | EMT-PARAMEDIC
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Telephone | 979-775-5037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 300127
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License Number State | TX
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